38 results
Plain radiography of the abdomen revealed calcification of both adrenal glands. A homozygous mutation in LIPA
calcification of both adrenal ... acid lipase is critical ... gut, which causes ... #clincial #peds ... #infant #NEJM #
Staphylococcal Scalded Skin Syndrome (SSSS)

A 5-year-old girl presents to the ED with a rash that started
the ED with a rash ... neck, axillae, and ... the patient’s rash ... Syndrome #SSSS #Clinical ... #Photo #Peds #Pediatrics
Vibrio Vulnificus skin infection
Cirrhosis w/recent consumption of raw oysters w/rapidly evolving rash. 
Vibrio vulnificus part of
rapidly evolving rash ... marine microbiota & causes ... immunosuppressive meds ... dermatology #legs #clinical ... #photo
Acute Dacryocystitis- A 4-week-old boy was brought to the emergency department after having drainage from both
eyes for 2 days and ... from both eyes, and ... #NEJM #clinical ... #photo #peds #acute ... dacryocystitis #ophth
Acute Purpura Fulminans Skin Rash on Physical Exam 
60 year old male ITP s/p splenectomy 
1d
rigors, diarrhea, nausea ... purpura fulminans) and ... critical illness ... cxs identify GNR and ... #clinical #photo
Secondary Syphilis Rash
Secondary syphilis is the most contagious of all the stages of this disease, and
Secondary Syphilis Rash ... Skin rash and malaise ... resembling rashes caused ... #Diagnosis #Clinical ... #Photo #Dermatology
Vibrio vulnificus Infection- At the time of presentation, hemorrhagic bullae measuring 3.5 by 4.5 cm had
palm of his left hand ... dorsum of the hand ... vulnificus can cause ... #clinical #photo ... #NEJM #vibrio #
Dermatomyositis
A middle-aged man describes progressive difficulty combing his hair and rising from a seated position over
combing his hair and ... This is a case of ... 1) heliotrope rash ... Gottrons #Papules #Clinical ... #Photo
Macroglossia in Light-Chain Amyloidosis- Physical examination revealed macroglossia, with indentations from the teeth (Panel A)...A biopsy
was performed, and ... well-recognized cause ... #amyloidosis #clinical ... #photo #AL #lightchain ... #NEJM
Moccasin-variety Tinea Pedis 
70 M chronic scaly feet. Over the years: rash has itched only occasionally;
Over the years: rash ... dermatophytes cause ... pitted keratolysis; and ... Variety #type #clinical ... #photo #foot #dermatology